Attachment J-12 - Appendix C - Summ of Exp Example (06JUN23 Update) - Draft.pdf
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- Attached to
- Pre-Solicitation Draft Request for Proposal Project Management Oversight (PMO) IDIQ Contract
- Solicitation number
- FTA_2024_PMO_0003
About this file
This document is a template for summarizing expenditures in support of reimbursement claims on federal contracts. It includes line items for direct labor costs, consultant costs, fringe benefits, travel costs, subcontractor costs, other direct costs, overhead costs, general and administrative costs, fee amounts, fee withholding, and facilities capital cost of money for the prime contractor. Certification is provided by a named official for costs incurred up to the date specified.
The related federal contract opportunity is a pre-solicitation draft request for proposal for project management oversight contracts from the Department of Transportation Federal Transit Administration. It involves an indefinite delivery/indefinite quantity contract but provides no further details on required services, response dates, pricing terms, or other salient information.
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Text version
#NAME?
Task Order No.
Expenditure Category Current Contract Budget
Amount Claimed Previously
Previous Value Adjustments
Amount Claimed This Period Cumulative Total
Labor Costs for the Prime Contractor only Direct Labor -$ -$ -$ -$ -$ All Costs for Consultants Consultant Costs -$ -$ -$ -$ -$
Fringe Benefit Costs for the Prime Contractor only Fringe Benefits -$ -$ -$ -$ -$ Travel Costs for Prime Contractor only Staff Travel -$ -$ -$ -$ -$
All Direct and Indirect costs for subcontractors. Do not include Fee. Subcontract -$ -$ -$ -$ -$ Any other direct costs that have been approved by the Contracting Office and related to the Prime Other Direct -$ -$ -$ -$ -$
Overhead costs for Prime Contractor only. Overhead -$ -$ -$ -$ -$ The total of a-i from directly above. Total Est. Cost -$ -$ -$ -$ -$
G&A costs for the Prime Contractor only. G&A -$ -$ -$ -$ -$ Total Estimated Cost plus G&A Total Costs -$ -$ -$ -$ -$
Total Fee across Prime and Subcontractors. Fee -$ -$ -$ -$ -$ Withholding on Fixed Fee across Prime and Subcontractors. Fee Withholding -$ -$ -$ -$ -$
FCCM costs for Prime Contractor only. FCCM -$ -$ -$ -$ -$ Total Costs plus items m, n, and o. Total -$ -$ -$ -$ -$
(Typed Name of Certifying Official) (Signature)
(Title) (Date)
SUMMARY OF EXPENDITURES
SUPPORT OF REIMBURSEMENT CLAIM
The Undersigned certifies that the cost of services reimbursable to the Contractor and the amount of fees earned by the Contractor up to the date of this certificate are not more than the total costs incurred and/or paid as claimed by the Contractor under the contract (including the payment claimed herewith) and that the Contractor to the best of their knowledge and belief has fully complied with the terms and conditions of the contract.
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File details come from the government source that posted it. Updated .